Uplifting Syrian Women

Social Anxiety Disorder

Social Anxiety Disorder

Do you think you’re a shy person? If so, does shyness affect your work and personal life? Have you ever heard of “Social Anxiety Disorder”? You can read the following article to find out the difference.

Anxiety disorders are the most common of mental disorders and affect nearly 30% of adults at some point in their lives. But anxiety disorders are treatable. [8] The most important ideas that can help people with anxiety disorders:

  • First: classify the events into under control, and out of control, then stop worrying about events we have no control over.
  • Second: deal with your fears directly and immediately.

Social Anxiety Disorder

Social anxiety disorder is a common type of anxiety disorder. A person with social anxiety feels symptoms of anxiety or fear in situations where they may be scrutinized, evaluated, or judged by others, such as speaking in public, meeting new people, dating, being on a job interview, answering a question in class, or having to talk to the cashier in the store. Doing everyday things, such as eating or drinking in front of others or using a public restroom, also may cause anxiety or fear due to concerns about being humiliated, judged, and rejected.

Social anxiety disorder usually begins during late childhood and may resemble extreme shyness or avoidance of social situations or interactions. It occurs more frequently in females than in males, and this gender difference is more pronounced in adolescents and young adults. Social anxiety disorder can last for many years, or even a lifetime. [1]

Symptoms of Social Anxiety Disorder

  • Blush, sweat, or tremble.
  • Have a rapid heart rate.
  • Feel their “mind going blank”.
  • Feel sick to their stomach.
  • Have a rigid body posture, or speak with an overly soft voice.
  • Find it difficult to make eye contact, be around people they don’t know, or talk to people in social situations, even when they want to.
  • Feel self-consciousness or fear that people will judge them negatively.
  • Avoid places where there are other people. [1]

Causes of Social Anxiety Disorder

  • Genetic Factors:
    Presently available clinical genetic studies point to a considerable heritability of anxiety disorders (30-67%), with multiple vulnerability genes
    These genes have been shown to partially interact with each other as well as with environmental factors to shape the overall disease risk in a complex genetic model.[2]
    The rate of occurrence of SAD is higher in identical twins than in non-identical twins, according to data collected from research on 2163 samples of female twins. [3]
  • Brain structure:
    A structure in the brain called the Amygdala may play a role in controlling the fear response. People who have an overactive amygdala may have a heightened fear response, causing increased anxiety in social situations. [4]
  • Environment:
    A social anxiety disorder may be a learned behavior — some people may develop significant anxiety after an unpleasant or embarrassing social situation. Also, there may be an association between social anxiety disorder and parents who either model anxious behavior in social situations or are more controlling or overprotective of their children.[4]

Diagnosis

It is normal for any of us to have experienced symptoms similar to the aforementioned ones in some of the situations in which we will be evaluated, or if we are exposed to a sudden situation at a gathering, but this is not diagnosed as having a social anxiety disorder.

In case the previous symptoms are recurrent, constitute real obstacles in social and professional life and cause isolation from social events and meeting new people in general, a specialist doctor should be referred to in order to make an accurate diagnosis.

A psychiatrist or other mental health specialists can make a diagnosis of social anxiety disorder based on your own description of your symptoms, how they occur, and in what situations. Your doctor will use the criteria listed in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) to determine if your symptoms warrant a diagnosis.

To be diagnosed with social anxiety disorder, you must have had the symptoms described in the DSM-5 for at least 6 months or longer. The DSM-5 diagnostic criteria also require the exclusion of other mental disorders such as panic disorder, body dysmorphic disorder, or autism spectrum disorder. Therefore, it may take multiple sessions with a mental health specialist before they can confidently diagnose social anxiety disorder [5].

Also read: Post-Traumatic Stress Disorder.

Treatment

Psychotherapy through Cognitive Behavioral Therapy (CBT):

Thoughts, feelings, and behavior are interrelated, so changing one can help alleviate problems in the other. Cognitive therapy techniques focus on modifying catastrophic thought patterns and beliefs that favor social failure and rejection. Exposure therapies to social situations are designed to gradually encourage the individual to enter into feared social situations and try to survive in those situations. The duration of treatment is approximately 12 sessions. [6]

Cognitive behavioral therapy teaches you different ways of thinking, behaving, and reacting to situations to help you feel less anxious and fearful. Cognitive behavioral therapy can also help you learn and practice social skills, which is very important for treating social anxiety disorder.  Cognitive behavioral therapy (CBT) has been well studied and is the golden standard for psychotherapy. [1]

Medication

Different types of medications can be effective in treating this disorder, including:

  • Antidepressants: antidepressants may also cause side effects, such as headaches, nausea, or difficulty sleeping. These side effects are usually not severe, especially if the dose starts off low and increases slowly over time.
  • Beta-blockers: They can help control some of the physical symptoms of social anxiety disorder, such as a fast heartbeat, sweating, and tremors.
  • Anti-anxiety medications: are powerful medications that start working immediately to reduce anxious feelings. These medications can be very effective in rapidly decreasing anxiety, but some people get used to them and need higher doses to get the same effect. Some people even become dependent on them. Therefore, your health care provider may only prescribe it for short periods of time if you need it.

Both psychotherapy and medication may take some time to work. A healthy lifestyle can also help combat anxiety. Make sure you get enough sleep and exercise, eat a healthy diet, and turn to family and friends you trust for support. [1]

Social Anxiety Disorder in Women

Research results at the University of Cambridge have shown that women are twice as likely to experience anxiety as men. It could be due to differences in brain chemistry and fluctuations in hormones. Reproductive events throughout a woman’s life are associated with hormonal changes that have been linked to anxiety. Women are also more likely to experience physical and mental abuse than men, and abuse has been linked to the development of anxiety disorders. Child abuse is associated with changes in brain chemistry and structure. According to previous research, women who have been sexually assaulted may have abnormal blood flow in the hippocampus, an area of ​​the brain involved in processing emotions. [7]

Our initiative is concerned with spreading psychological awareness in society in general and among women in particular; as knowing the symptoms of diseases at an early stage has a significant impact on the treatment journey. We also seek to combat the violence of all kinds against women as it is often a major cause of many mental illnesses.

♀️ Uplifting Syrian Women Initiative aims at sustainable peace building in Syria through targeting women and providing them with free online courses, workshops, discussion sessions and trainings, with a view to achieving the goals of Gender Equality, Quality Education and Decent Work and Economic Growth, which all fall into the interest of society as a whole and serve the purpose of rebuilding it.

References:

[1] NIMH

[2] NCBI

[3] Medical

[4] Mayo Clinic

[5] PSYCOM

[6] APA- Division 12

[7] University of Cambridge

[8] APA